HomeMy WebLinkAbout101 Abbe Road Ext. (17) PERMIT�U
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby : TOWN OF SOUTH WINDSOR +
BUILDING INSPECTION DEPT.
APPROVE DISAPPROVED 1540 SULLIVAN AVENUE
644-2511 Ext . 230
Date Building Inspector Application must be printed or typed
1 . LOCATION OF JOB
l 42/ AdOE L/ /S�aA U E�c T
FEE SCHEDULE No . I Street
NF.V .R ROAD -PARK
ARK
$ 0 - $1 ,000 - $10.00 Floor Apt . No.
Over $1 ,000 - $10.00
2 . OWNER
per $1 ,000 or w�v o ►= r 7N �A,rn»a
fraction thereof
3. ADDRESS
4 . APPLICANT hie - -fr,
5. ADDRESS by C►*E������. ��
Cl • oLe 7
6. ESTIMATED COST
7 . IS THIS A CONTRACT COST
Yes No
8. FEE ENCLOSED $
9. TYPE OF BUILDING :
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
Ori inal Installation
lteration/Addition/Repair
RD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB 141 '7�
NO. STREET APT. NO ,
12 . TYPE OF INSTALLATION
13 . SIZE OF MAIN FEEDER
14 . NO. OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS
16 . NO . OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS
18 . NO . OF HEAT CIRCUITS 19 . NO. OF POWER OUTLETS
20 . NO . OF CONVENIENCE OUTLETS 21. NO. OF HEAT CIRCUITS
22 . NO . OF POWER CIRCUITS 23. NO. OF LIGHT CIRCUITS
24. SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS
26 . NO . OF PANELS 27 . TOTAL WATTAGE
28 . NO . OF POWER FEEDERS 29 . NO. OF SWITCHES
30. A/C LOAD 31. SIZE OF POWER FEEDERS
32. NO . OF FIXTURES 33 . TOTAL HORSEPOWER
34 . NAME OF SUBCONTRACTORS AND THEIR TRADES
35 . REMARKS AND FURTHER DETAILS :
S�l
LICENSE NO. SIGNATURE OF APPL,ICAN c DATE
PHONE NUMBER: p2G_3 '28'�--'l/�
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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93-12725-E 500
E09 OTHER 08/20/93 JRC A TEMP WIRING FOR FAIR
Total Est Value 500